HomeMy WebLinkAboutCLE201900042 Application 2019-03-19CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
1 certify that notice of the application, -- E. A . L. &s-Fr,J,
[County application name and number]
was provided to _ k r p,,-� LL-- the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number --rm 3? / Rrc,� (q g
manner identified below:
QHand delivering a copy of the application to
by delivering a copy of the application in the
[Name of the record owner if the record owner is a
person; if the owner of record is an entity, identify the recipient of the record and the recipient's
title or office for that entity]
on
Date
EMailing a copy of the application to A ( P,, �vs � � s s -I�rt/-- LLC-
[Name of the record owner if the record owner is a person;
if the owner of record is an entity, identify the recipient of the record and the recipient's title or
office for that entity]
on 3 JJ4 (9 to the following address:
Date
rbrvykC
. n e_t
[address; written notice mailed to the owner at the last known address of the owner as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
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Signattjure offpppli t
Print Applicant N e
36719
Date
-R i AK I -
10, x 12,
DOORS
-�K